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�) �a� -1 i�I -�G�G -7�d'`> <br /> APP�"' /I�I//'2�� CITY OF EVERETT S1i"•'�c` nJo 7 g g g <br /> No. L�y� ORDER <br /> � APPUCATION POR WATER SERVICE / <br /> �XED DATE_/�./�Z.��1B_ <br /> s �c�� TO POSTIf�f----'-�Z5"��( W. o. <br /> � oePosir � No,_ __ <br /> SERVICEtev �ooeeul -L-LL'-�.� _ 'VZ ' �--L--BLK..- -LOT_--ADD._ <br /> OWNER_/1_(�L1�-` �J CONTRAGTOR...--__-_ —___.___ <br /> %� FLAT <br /> INSTAL� � -�ERVICE— -- ---- -- - ///yyy <br /> I HEREBY APPLY FOR iliE USE OF WATEN IN ACCORD�NCE N'ITH THE �1 � / <br /> ORDINANCES AND POLICIES OF THE WATEfl DEPARTMENT NOW EXISTING �� �7 <br /> OR AS SAME MAY BE HEREAFTER CHANGED. eicr+Eo: I� . _ C' _ _ ._ _ .___ , <br /> M�TERIALS � IN. 1 IN. i 3 N � PRICE � �MOUNT <br /> PIPE --' <br /> COPPER-• GALV. •- STCEL — '� <br /> _-'. _—___- .—_ _ ._'_—_'_-.l_-' __� __ '__I _ _'— . _ ___'_ _— <br /> I <br /> CORPORATION _______ _ __� � . __ __J _ <br /> CURB COCK OT __ _________ __ _I__ __—.J _ — <br /> SERVICE BOX PLASTIC -• C I I � _� <br /> — . ..___ — _.__ _. _ — <br /> METER VAWE .._____ _ _ _ . _ _ _ I __. __._ <br /> __- -_ _ __ . _ _ . — _ _ _ <br /> METER No. TYPE: _ . ' . _ .I _��_ __ _'_'. _ __._— ___'_ <br /> _- _-_. __ - . .__ ... �.I I <br /> METER BOX CONCRETE SMALL LARGE . _ <br /> --_._____._--._.__ . ._. _ ___ "_j . — <br /> '__ I —L.��'__ _ <br /> __— __..____ _ _ I I . — ' _ <br /> —�— __ __ _ <br /> _ __I � ��— — . _'_ _ — <br /> _-_ _ � I i <br /> _—'—_ I_ I —i I ._'_'_—_ _ --_ _— <br /> �/-(c - Y `, I ❑ oN <br /> DATE INS7ALLED: . OFF SUB TOTAL <br /> CODE �i LABOq AND EOUIPMENf` ENTAL i HOIlRS RATC <br /> � <br /> '-/��/_2---- �5� � - - - -----------� -- - - - <br /> ! 2�1�_— ' — --- --- — <br /> ' -- –�'"c'`�-4 -- � — --- -- <br /> — _ ��� fV0 ACTIGN I <br /> -- -- — -- — — — <br /> � W18 DC fdY,a 1LQ� s'���—I--- — — — <br /> --—--- <br /> -- -- —--- <br /> dpplitatinns �•,�itliout n � <br /> � _-- -- — — <br /> --- - ----- ------BackfloW Prevenboif�or,s.:l..:. ' 'I <br /> i <br /> TOTAL <br /> REMARKS: __ <br />